Court gives nuns a compromise on health care issue

By Jesse J. Holland
Associated Press

Published: Sunday, Aug. 2 2015 2:53 p.m. MDT

The Supreme Court on Friday offered a short-term compromise that would continue to exempt a group of Denver nuns that operates charity nursing homes from the birth control mandate of the nation's health care law if they declare their objections in writing. (Shutterstock)

WASHINGTON — The Supreme Court on Friday offered a short-term compromise that would continue to exempt a group of Denver nuns that operates charity nursing homes from the birth control mandate of the nation's health care law if they declare their objections in writing.

The nuns will take the court up on its offer and provide a written notice, officials said.

The justices asked the nuns to write the Department of Health and Human Services declaring themselves a religious nonprofit organization and making their objection to birth control. In return, the high court would continue to block for them the contraceptive coverage requirement of the Affordable Care Act, also known as Obamacare, while their appeal is heard in the 10th U.S. Circuit Court of Appeals.

Their nuns' lawyer, Mark Rienzi of the Becket Fund for Religious Liberty, said they were delighted to hear about the court's decision. "It made no sense for the Little Sisters to be singled out for fines and punishment before they could even finish their suit," he said.

Under the health care law, most health insurance plans have to cover all Food and Drug Administration-approved contraceptives as preventive care for women, free of cost to the patient. Churches and other houses of worship are exempt from the birth control requirement, but affiliated institutions that serve the general public are not. That includes charitable organizations, universities and hospitals.

In response to an outcry, the government came up with a compromise that requires insurers or health plan administrators to provide birth control coverage but allows the religious group to distance itself from that action. The exemption is triggered when the religious group signs a form for the insurer saying that it objects to the coverage. The insurer can then go forward with the coverage.

A group of Denver nuns who run nursing homes for the poor, called the Little Sisters of the Poor Home for the Aged, say signing that form makes them complicit in providing contraceptive coverage, and therefore violates their religious beliefs.

The high court exempted them from the government form requirements, saying the nuns only have to inform HHS in "writing."

"To meet the condition for injunction pending appeal, applicants need not use the form prescribed by the government and need not send copies to third-party administrators," the justices' order said.

Rienzi said the court's order also will provide protection to more than 400 other Catholic organizations that receive health benefits through the same Catholic benefits provider, Christian Brothers. It's one of the religious health care providers that is exempted from the health care law's requirement to provide contraceptive coverage and has said all along that it will not make contraceptive coverage available.

Justice Sonia Sotomayor blocked the contraceptive coverage mandate for the nuns on New Year's Eve, only hours before portions of the law's coverage went into effect.

Sharon Levin, director of federal reproductive health policy for the National Women's Law Center, said the battle isn't over.

"The Supreme Court emphasized that the order 'should not be construed as an expression of the court's views on the merits,'" Levin said. "We are confident that once the merits in this case are fully considered by the 10th Circuit, it will once again uphold the birth control regulations as it did in December."

The Supreme Court already has decided to rule on whether businesses may use religious objections to escape a requirement to cover birth control for employees. That case, which involves Hobby Lobby Inc., an Oklahoma City-based arts and crafts chain with 13,000 full-time employees, is expected to be argued in March and decided by summer.